| NPI | 1790235737 |
|---|---|
| Former Name | KAYLEE JOERGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 5377405121) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2016036421) |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2017-04-26 |